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Chandak, Sushma S.
- Laparoscopic Cholecystectomy - A Cross Sectional Study
Abstract Views :264 |
PDF Views:98
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1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Nashik, IN
2 ESIC Model hospital & Research centre, Mumbai, IN
1 Department of Surgery, Dr. Vasantrao Pawar Medical College, Nashik, IN
2 ESIC Model hospital & Research centre, Mumbai, IN
Source
MVP Journal of Medical Sciences, Vol 2, No 1 (2015), Pagination: 53-56Abstract
Aims and Objectives: 1. To study the clinical profile of patients undergoing laparoscopic cholecystectomy. 2. To study the post operative complications of laparoscopic cholecystectomy. Methodology: Ultrasound confirmed 48 cases of either sex admitted in department of surgery with cholelithiasis, gall bladder polyp, acute or chronic cholecystitis were included in this survey. These patients underwent laparoscopic cholecystectomy after preoperative preparation during August 2011-December 2013. Results: Highest age incidence was seen in 4th decade with female preponderance. Most common presenting symptom was pain in abdomen followed by nausea, vomiting, dyspepsia and fever. Only 1 procedure was converted to open cholecystectomy with conversion rate of 2.08%. It was due to dense adhesions from chronic infection. The overall post-operative complication rate was 6.25% with wound infection being the most common occurring in 2 cases and prolonged ileus in 1 case. Chronic cholecystitis was the major histopathological diagnosis. The median post-operative stay in our study was 3 days. Conclusion: Chronic cholecystitis is the most common presentation of cholelithiasis with female pre-ponderance and incidence more in the 4th decade. Laparoscopic cholecystectomy is safe and feasible treatment with less complication rate and early recovery.Keywords
Cholelithiasis, Laparoscopic Cholecystectomy.- A Clinical Profile of Typhoid Perforation of Bowel in a Tertiary Care Centre
Abstract Views :435 |
PDF Views:102
Authors
Source
MVP Journal of Medical Sciences, Vol 3, No 2 (2016), Pagination: 83-91Abstract
Background and Aims: Salmonella typhi causes an estimated 22 million cases of typhoid fever and 216000 deaths annually worldwide1 and in developing countries, typhoid bowel perforation is an important surgical problem. The surgeon is faced with number of challenges during the management of these patients. The aims of this study are 1. To study the clinical profile of typhoid perforation of bowel in a tertiary care centre. 2. To study post operative outcome in patients with typhoid ulcer perforation. Methods and Methodology: A total of 45 patients diagnosed as having typhoid bowel perforation were included for the study after fulfilling the inclusion/ exclusion criteria. Results: Majority of patients were in the 2nd and 3rd decades (57.7%) with age ranging from 18 to 68 years. There were 28 (63.63%) males and 17 (37.7%) females. Fever with abdominal pain were the symptoms in all subjects followed by vomiting, distension of abdomen and constipation respectively. Most of the patients presented during 2nd and 3rd week of illness. 5 patients presented early i.e. within 24 hours and 40 patients presented late i.e., after 24 hours. Widal test was positive in 35 (79.45%) cases. Majority of patients (66.6%) group showed leucocytosis, while 7% showed leucopenia and 17% had normal WBC counts. Single perforation was found in 27 patients (60%), 2 perforations in 14 patients (31.1%) and more than 2 perforations were found in 4 patients (8.8%). Gas under diaphragm was present in all the patients. The most commonly done procedure in 33 cases (73.33% ) was simple closure of the perforation and resection and end to end ileo ileal anastomosis was done in 10 patients whereas ileo transverse anastomosis with ileostomy was done in 2 patients with multiple perforations. The most common post-operative complication was surgical site infection followed by respiratory infections, wound dehiscence. Enterocutaneous fistula was present in one case Mortality rate of 6.6 % was seen.References
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